Healthcare Provider Details

I. General information

NPI: 1942610969
Provider Name (Legal Business Name): JEFFREY DUC VU DNP, MBA, RN, FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2014
Last Update Date: 10/05/2025
Certification Date: 10/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 THE CITY DR S # 4482
ORANGE CA
92868-3201
US

IV. Provider business mailing address

101 THE CITY DR S # 4482
ORANGE CA
92868-3201
US

V. Phone/Fax

Practice location:
  • Phone: 714-456-6025
  • Fax: 714-456-8808
Mailing address:
  • Phone: 949-891-2223
  • Fax: 714-456-8808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number756111
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number76149
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163WH0500X
TaxonomyHemodialysis Registered Nurse
License Number756111
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number202100564NP-PP
License Number StateOR
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61115863
License Number StateWA
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95100405
License Number StateCA
# 7
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95001405
License Number StateCA
# 8
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number756111
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: